{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:36:41Z","timestamp":1760985401049,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,2,16]],"date-time":"2016-02-16T00:00:00Z","timestamp":1455580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000055","name":"NIDCD","doi-asserted-by":"crossref","award":["R01 DC005805"],"award-info":[{"award-number":["R01 DC005805"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In medically refractory chronic frontal sinusitis, ethmoidectomy without instrumentation of the frontal ostium may resolve frontal disease. Our aim was to determine the efficacy of ethmoidectomy alone for the treatment of chronic frontal sinusitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adults with chronic rhinosinusitis prospectively enrolled in a multicenter study who demonstrated frontal sinusitis on computed tomography were divided into 2 groups: (1) endoscopic sinus surgery (ESS) incorporating ethmoidectomy, but excluding frontal sinusotomy; and (2) ESS incorporating frontal sinusotomy. The primary outcome was improvement in 22\u2010item Sino\u2010Nasal Outcome Test (SNOT\u201022) scores. Secondary outcomes included endoscopic scores and use of corticosteroids and antibiotics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 196 cases undergoing frontal sinusotomy and 30 cases treated with ethmoidectomy without frontal sinusotomy were analyzed and were comparable demographically. The prevalence of nasal polyps, previous ESS, asthma, and aspirin intolerance was more common in the frontal sinusotomy group (<jats:italic>p<\/jats:italic> &lt; 0.050). Preoperative endoscopy and computed tomography scores were higher in the frontal sinusotomy group (<jats:italic>p<\/jats:italic> \u2264 0.001). Postoperatively, both groups showed comparable SNOT\u201022 scores with worse endoscopy scores in the frontal sinusotomy group (<jats:italic>p<\/jats:italic> = 0.038). Postoperative improvement in SNOT\u201022 total and subdomain scores was comparable between groups. Nasal endoscopy scores improved to a greater degree in the frontal sinusotomy group (<jats:italic>p<\/jats:italic> = 0.023). Duration of postoperative topical steroid use was higher in the frontal sinusotomy group (<jats:italic>p<\/jats:italic> = 0.007). Revision surgery was needed in 2.6% of frontal sinusotomy patients and 0% of patients without frontal sinusotomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The treatment of chronic frontal sinusitis through ethmoidectomy is a potential alternative to frontal sinusotomy achieving similar quality of life (QOL) improvements in patients manifesting less severe sinus disease.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21726","type":"journal-article","created":{"date-parts":[[2016,2,16]],"date-time":"2016-02-16T09:11:31Z","timestamp":1455613891000},"page":"597-604","source":"Crossref","is-referenced-by-count":22,"title":["Outcomes of chronic frontal sinusitis treated with ethmoidectomy: a prospective study"],"prefix":"10.1002","volume":"6","author":[{"given":"Waleed M.","family":"Abuzeid","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Montefiore Medical Center Albert Einstein College of Medicine  Bronx NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jess C.","family":"Mace","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Rhinology Oregon Health and Science University  Portland OR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milena L.","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Medical School of the University of Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke","family":"Rudmik","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery University of Calgary  Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary M.","family":"Soler","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina  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